Avera St Luke's FY2024 filing

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Avera is a health ministry rooted in the Gospel. Our mission is to make a positive impact in the lives and health of persons and communities by providing quality services guided by Christian values.

501(c)(3) charity; gifts are tax-deductible.
93¢ of each $1 spent went to programs.
$10.5M paid to officers and key staff.
Mission: Form 990 Part I, line 1 · Status: IRS Pub. 78 · Programs: Part IX · Pay: Part VII

Before you give

FY2024 · Form 990Independent: from IRS data, not the org
Download 990
IRS status
501(c)(3)
not on the IRS revocation list
Looks good: listed by the IRS and not on the revocation list.
IRS BMF · Auto-Revocation List
Tax-deductible gifts
Yes
Donations are tax-deductible
Looks good: the IRS lists gifts to it as deductible.
IRS Pub. 78 · IRS BMF
Latest return
FY2025
latest Form 990
Looks good: the latest return is for FY2025, 1 tax year back; within 2 tax years.
IRS e-file · Filing history
Surplus or deficit
2 of 6
filings with a surplus
Average deficit $1.9M a year · under 1% of revenue · last 6 filings
Concern: a surplus in 2 of the last 6 filings.
Pt I · Ln 19 · 6 filings
Spent on programs
93%
of spending
Looks good: 93% of spending went to programs; 75% or more.
Pt IX · Ln 25 · col B
Pay to officers and key staff
$10.5M
to officers and key staff · 5% of spending
Looks good: pay to officers and key staff is 5% of spending; 15% or less.
Pt VII · Sec A
<1 mo
of spending, in cash
Plus $17.9M in investments, Pt X · Ln 11–13
Fine: -0.0 months of spending in cash, plus $17.9M in investments.
Pt X · Ln 1–2 · Pt I · Ln 18
Named funders
2
named funders · $49K
Fine: 2 funders name it on their filings; under 3.
Funders’ Sch. I, 990-PF
Liabilities
$72.1M
48% of total assets
Looks good: liabilities are 48% of assets; 50% or less.
Pt X · Ln 26
Independent board members
10
of 15 voting members
Looks good: 10 of 15 voting members are independent, a majority.
Pt VI · Ln 1a–1b
Looks goodFineWorth a lookConcernNo data yetTap a box for the reason.
Revenue
$197.1M
-1% vs prior year
Spent
$199.8M
To programs
93%
Net assets
$78.0M
By yearFY2020–FY2025
Revenue
$197.1M
FY2024▼ -1%
Tap a bar for its year
Revenue by fiscal year
FY2020$191.1M
FY2021$208.8M
FY2022$210.2M
FY2023$200.1M
FY2024$197.1M
FY2025$194.4M
Expenses
$199.8M
FY2024▼ -4%
Tap a bar for its year
Expenses by fiscal year
FY2020$194.5M
FY2021$199.8M
FY2022$210.1M
FY2023$209.2M
FY2024$199.8M
FY2025$199.5M
Net assets
$78.0M
FY2024▼ -1%
Tap a bar for its year
Net assets by fiscal year
FY2020$75.0M
FY2021$89.1M
FY2022$88.0M
FY2023$79.0M
FY2024$78.0M
FY2025$74.7M

From the FY2024 Form 990 (year ending June 2024) · figures checked against the IRS filing · see the original

990 PDF Claim
You’re viewing the FY2024 filing — not the latest on file. See the latest (FY2025) →

Is it real?

Yes. Never revoked by the IRS. Latest filing on record: FY2025. IRS ruling in Mar 1943.

IRS Pub. 78 · IRS Auto-Revocation List · IRS Business Master File

Where the money goes

93 cents of each dollar spent went to programs.

Program services 93% · $185.8M Management & general 7% · $14.1M Fundraising 0% · $4K

Form 990 Part IX, line 25, columns B–D. Every line is in By the numbers.

Something off? Claim to add context

Who runs it and what they're paid

22 people listed on the 990; $10.5M paid to officers and key staff.

Part VII, Section A · reportable compensation · most recent filed roster (FY2023); the FY2024 filing did not itemize Part VII
Sports Medicine, Surgery & Orthopedics
$2,999,342Pt VII · Sec A
$1,913,170Pt VII · Sec A
Interventional Radiology & Radiology
$1,550,096Pt VII · Sec A
$1,477,815Pt VII · Sec A
$1,242,294Pt VII · Sec A
Board Member/Orthopedics/Surgery
$625,813Pt VII · Sec A
Board Member/Anesthesiology
$518,726Pt VII · Sec A
VP - Strategy Network Ops (end 03/2024)
$222,455Pt VII · Sec A

Brandon Fites MD Sports’s $2.0M as Medicine, Surgery & Orthopedics is at the 84th percentile of top reported officer pay among 1747 $100M+ health care nonprofits. Peer set: organizations in the same NTEE major field of work and revenue-size band, compared on each org’s own highest-paid officer/key-employee, from Form 990 Part VII / 990-PF Part VIII. Descriptive placement, not a verdict on whether the pay is appropriate.

Compensation history total reportable pay by year · 8 named individuals · Part VII

NameFY2025FY2024FY2023FY2022FY2021FY2020
Brandon Fites MD—$2,999,342$2,034,733$2,752,594——
Brandon Fites MD Sports$2,038,580—————
Susheel Gundewar MD$1,989,267$1,913,170————
Sushell Gundewar MD——$1,720,029$1,889,680——
Sushell Gundewar————$1,775,452$1,455,404
Brandon Fites————$1,277,128$1,596,582
Leslie Lenter MD—$1,550,096————
Ryan Gnesda MD—$1,477,815————

Total reportable compensation (Form 990 Part VII column D / Schedule J column E) by filing year, matched by name within this organization. The Schedule J base / bonus / deferred breakdown is not parsed into this dataset.

See Avera St Luke's executive salaries →

Questions the 990 asks

The form asks each of these directly. These are the filed answers.

  • Family or business ties among officersPt VI · Ln 2Yes
  • Top official's pay set by an independent reviewPt VI · Ln 15aNo

Programs and updates

Provides comprehensive healthcare services, including hospital, nursing home, and clinic care, to South Dakota residents.

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1 program · $185.8M · in their own filed words · FY2023
01

Avera St. Luke's mission is to provide healthcare services to Aberdeen, South Dakota residents and residents of the surrounding area. Avera St. Luke's is a 501(c)(3) organization affiliated with Avera Health. Avera St.

$185.8Mprogram expense

Funders

Who pays for it.

From grant filings on record. Receipts are incomplete: individual donors are never listed.

Grants

Schedule I · received and paid
Grants received · FY2025
Total grants receivedfrom 2 funders$49K
Grants paid · 6 grants · $531K · 2019–2023
Presentation CollegeFY2021$163,800
Aberdeen Library FoundationSD · FY2021$20,000
Presentation CollegeFY2020$163,800
Presentation CollegeFY2019$163,800

By the numbers

The FY2024 990, line by line.

1The main four
Money inPt VIII
$197.1M
Ln 12
Fees for servicesLn 2g$196.8M
Investment incomeLn 3$570K
Gifts and grantsLn 1h$570K
Money outPt IX
$199.8M
Ln 25
Programscol B$185.8M
Managementcol C$14.1M
Fundraisingcol D$4K
Owns and owesPt X
$78.0M
net assets · Ln 32
Cash and savingsLn 1–2−$17K
Total assetsLn 16$150.1M
LiabilitiesLn 26$72.1M
PeoplePt VI, VII
22
listed · VII A
PaidVII A8
Voting boardVI 1a15
IndependentVI 1b10
2In more detail
Revenue in detailPt VIII
Gifts and grantsLn 1h$570K
Government grantsLn 1e$401K
Fees for servicesLn 2g$196.8M
Investment incomeLn 3$570K
Gains on assetsLn 7$269K
Total revenueLn 12$197.1M
Assets in detailPt X, end of year
SavingsLn 2−$17K
Cash and savings togetherLn 1–2−$17K
Accounts receivableLn 4$23.4M
Inventories for sale or useLn 8$4.1M
Prepaid expenses and deferred chargesLn 9$892K
Land, buildings, equipmentLn 10c$61.6M
InvestmentsLn 11–13$17.9M
Intangible assetsLn 14$41.1M
Other assetsLn 15$1.0M
Total assetsLn 16$150.1M
LiabilitiesLn 26$72.1M
Net assetsLn 32$78.0M
OperationsPt I, VI
EmployeesI 51,258
VolunteersI 622
Fiscal year endsHeaderJune
Conflict-of-interest policyVI 12aYes
Whistleblower policyVI 13Yes
Records policyVI 14Yes
3More from this return
Hospital careSch H · share of total expense
Charity care at costPt I 7a$8.7M · 4.4%
Bad debtPt III 2$0 · 0.0%
Total community benefitPt I 7k$17.3M · 8.7%
BondsSch K, Pt X
Tax-exempt bond debt owedX 20$58.0M
EndowmentSch D · Pt V
LineFY24FY23FY22FY21FY20
End of yearLn 1g$1.7M$1.5M$1.5M$1.6M$1.4M
SpentLn 1d–1f$44K$21K$202$13$11K
4Year over year
Balance sheet, start vs end of yearPt X · col A, B
LineStart FY24End FY24
Cash and savingsLn 1–2$42K−$17K
InvestmentsLn 11–13$14.2M$17.9M
Land, buildings, equipmentLn 10c$63.9M$61.6M
Total assetsLn 16$155.4M$150.1M
LiabilitiesLn 26$76.4M$72.1M
Net assetsLn 32$79.0M$78.0M
5Every line
Statement of functional expensesPt IX · every line
LineTotalProgramsManagementFundraising
Grants to domestic organizationsLn 1$12K$12K
Pay of current officers, directors and key staffLn 5$1.4M$1.2M$183K
Pay of disqualified personsLn 6$1.4M$1.4M
Other salaries and wagesLn 7$89.5M$87.8M$1.6M
Pension plan contributionsLn 8$2.9M$2.9M$64K
Other employee benefitsLn 9$11.4M$11.1M$294K
Payroll taxesLn 10$5.3M$5.1M$113K
Legal feesLn 11b$25K$25K
Lobbying feesLn 11d$6K$6K
Other fees for servicesLn 11g$39.0M$29.4M$9.7M$433
Advertising and promotionLn 12$18K$12K$6K
Office expensesLn 13$1.4M$1.1M$206K$1K
Information technologyLn 14$732K$732K$60$50
OccupancyLn 16$2.3M$2.0M$203K
TravelLn 17$375K$355K$21K
Conferences, conventions and meetingsLn 19$284K$273K$11K
InterestLn 20$2.4M$2.0M$415K
Depreciation, depletion and amortizationLn 22$6.4M$5.9M$487K$698
InsuranceLn 23$975K$415K$560K
Other expenses (24a–d)Ln 24$32.9M$32.9M$49K$953
All other expensesLn 24e$1.2M$1.1M$117K$339
Total functional expensesLn 25$199.8M$185.8M$14.1M$4K

Filing history

YearMoney inMoney outIn minus outNet assetsDownload
FY2025 LatestFiled with the IRS May 15, 2026 $194.4M$199.5M−$5.1M$74.7M 990 PDF
FY2024 ViewingFiled with the IRS May 14, 2025 $197.1M$199.8M−$2.7M$78.0M 990 PDF
FY2023Filed with the IRS May 14, 2024 $200.1M$209.2M−$9.0M$79.0M 990 PDF
FY2022Filed with the IRS May 12, 2023 $210.2M$210.1M$86K$88.0M 990 PDF
FY2021Filed with the IRS May 16, 2022 $208.8M$199.8M$8.9M$89.1M 990 PDF
FY2020Filed with the IRS May 17, 2021 $191.1M$194.5M−$3.4M$75.0M 990 PDF

Schedules filed Part IV

III · Programs R · Related orgs G · Fundraising L · Interested persons I · Grants A · Public support J · Pay O · Explanations
See the full FY2024 990 (6 parts)
Part I · Summary $197,141,413 revenue, 12 lines filed
I-8 Contributions and grantsPrior year $720,538$569,579
I-9 Program service revenuePrior year $196,613,050$196,779,327
I-10 Investment incomePrior year $191,456$570,203
I-11 Other revenuePrior year $2,603,735−$777,696
I-12 Total revenuePrior year $200,128,779$197,141,413
I-13 Grants and similar amounts paidPrior year $13,020$11,569
I-14 Benefits paid to membersPrior year $0$0
I-15 Salaries and benefitsPrior year $111,776,241$111,805,521
I-16a Professional fundraising feesPrior year $0$0
I-17 Other expensesPrior year $97,383,165$87,997,915
I-18 Total expensesPrior year $209,172,426$199,815,005
I-19 Revenue less expensesPrior year −$9,043,647−$2,673,592
Part VI · Governance 10 of 15 board members independent, 2 to look at
VI-1a Voting members of the governing body15
VI-1b Independent voting members10
VI-2 Family or business relationship among officers or directorsYes
VI-15a Process for setting top official's payNo
VI-12a Written conflict of interest policyYes
VI-13 Written whistleblower policyYes
VI-14 Document retention and destruction policyYes
Part VIII · Statement of revenue $197,141,413 across 9 lines filed
Lines not itemized here account for $2,727,297 of total revenue; see the IRS return.
VIII-1d Related organizations$168,249
VIII-1e Government grants$401,330
VIII-1h Total contributions, gifts and grants$569,579
VIII-2a-f Program service revenue, itemized rows (sum of 2a–2f as filed)Related to mission $192,694,424 · Unrelated business $542,158$193,236,582
VIII-3 Investment incomeExcluded from tax $301,384$301,384
VIII-6 Net rental income or lossExcluded from tax −$198,951−$198,951
VIII-7 Net gain or loss on sales of assetsExcluded from tax $268,819$268,819
VIII-11a-d Other revenue, itemized rows (sum of 11a–11d as filed)Related to mission $236,703$236,703
VIII-12 Total revenueRelated to mission $196,381,277 · Unrelated business −$180,695 · Excluded from tax $371,252$197,141,413
Part IX · Statement of functional expenses $199,815,005 across 21 lines filed
IX-1 Grants to domestic organizationsPrograms $11,569$11,569
IX-5 Pay of current officers, directors and key staffPrograms $1,217,575 · Management $183,442$1,401,017
IX-6 Pay of disqualified personsPrograms $1,356,158$1,356,158
IX-7 Other salaries and wagesPrograms $87,843,669 · Management $1,631,716$89,475,385
IX-8 Pension plan contributionsPrograms $2,875,121 · Management $63,686$2,938,807
IX-9 Other employee benefitsPrograms $11,084,405 · Management $294,307$11,378,712
IX-10 Payroll taxesPrograms $5,142,796 · Management $112,646$5,255,442
IX-11b Legal feesManagement $24,941$24,941
IX-11d Lobbying feesManagement $5,603$5,603
IX-11g Other fees for servicesPrograms $29,383,842 · Management $9,664,620 · Fundraising $433$39,048,895
IX-12 Advertising and promotionPrograms $11,774 · Management $6,149$17,923
IX-13 Office expensesPrograms $1,144,170 · Management $205,614 · Fundraising $1,341$1,351,125
IX-14 Information technologyPrograms $731,636 · Management $60 · Fundraising $50$731,746
IX-16 OccupancyPrograms $2,049,159 · Management $203,295$2,252,454
IX-17 TravelPrograms $354,503 · Management $20,705$375,208
IX-19 Conferences, conventions and meetingsPrograms $273,484 · Management $10,704$284,188
IX-20 InterestPrograms $1,952,128 · Management $414,771$2,366,899
IX-22 Depreciation, depletion and amortizationPrograms $5,908,674 · Management $486,940 · Fundraising $698$6,396,312
IX-23 InsurancePrograms $414,725 · Management $560,245$974,970
IX-24 Other expenses (24a–d)Programs $32,870,348 · Management $49,098 · Fundraising $953$32,920,399
IX-24e All other expensesPrograms $1,129,515 · Management $117,398 · Fundraising $339$1,247,252
IX-25 Total functional expensesPrograms $185,755,251 · Management $14,055,940 · Fundraising $3,814$199,815,005
Part X · Balance sheet $150,122,754 assets, 20 lines filed
X-2 Savings and temporary cash investmentsStart of year $41,670−$16,557
X-4 Accounts receivableStart of year $28,031,852$23,439,653
X-8 Inventories for sale or useStart of year $5,028,788$4,113,300
X-9 Prepaid expenses and deferred chargesStart of year $1,034,330$891,585
X-10c Land, buildings and equipment, netStart of year $63,914,775$61,618,442
X-12 Other securitiesStart of year $12,871,473$16,494,586
X-13 Program-related investmentsStart of year $1,367,227$1,446,442
X-14 Intangible assetsStart of year $41,350,782$41,108,248
X-15 Other assetsStart of year $1,745,509$1,027,055
X-16 Total assetsStart of year $155,386,406$150,122,754
X-17 Accounts payable and accrued expensesStart of year $14,608,812$13,271,564
X-19 Deferred revenueStart of year $111,876$0
X-20 Tax-exempt bond liabilitiesStart of year $60,470,223$57,980,674
X-21 Escrow or custodial accountsStart of year $16,964$16,682
X-25 Other liabilitiesStart of year $1,221,475$847,127
X-26 Total liabilitiesStart of year $76,429,350$72,116,047
X-27 Net assets without donor restrictionsStart of year $75,841,229$74,275,235
X-28 Net assets with donor restrictionsStart of year $3,115,827$3,731,472
X-32 Total net assets or fund balancesStart of year $78,957,056$78,006,707
X-33 Total liabilities and net assetsStart of year $155,386,406$150,122,754
Part XI · Reconciliation of net assets $78,006,707 net assets at year end
XI-1 Total revenue$197,141,413
XI-2 Total expenses$199,815,005
XI-3 Revenue less expenses−$2,673,592
XI-4 Net assets at start of year$78,957,056
XI-5 Net unrealized gains (losses) on investments$846,646
XI-9 Other changes in net assets$876,597
XI-10 Net assets at end of year$78,006,707

Form 990 e-file (XML) FY2024 from the IRS · Classification, formation year and address from the IRS Business Master File

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